Aging and cytomegalovirus infection differentially and jointly affect distinct circulating T cell subsets in humans

AM Wertheimer, MS Bennett, B Park… - The Journal of …, 2014 - journals.aai.org
AM Wertheimer, MS Bennett, B Park, JL Uhrlaub, C Martinez, V Pulko, NL Currier…
The Journal of Immunology, 2014journals.aai.org
The impact of intrinsic aging upon human peripheral blood T cell subsets remains
incompletely quantified and understood. This impact must be distinguished from the
influence of latent persistent microorganisms, particularly CMV, which has been associated
with age-related changes in the T cell pool. In a cross-sectional cohort of 152 CMV-negative
individuals, aged 21–101 y, we found that aging correlated strictly to an absolute loss of
naive CD8, but not CD4, T cells but, contrary to many reports, did not lead to an increase in …
Abstract
The impact of intrinsic aging upon human peripheral blood T cell subsets remains incompletely quantified and understood. This impact must be distinguished from the influence of latent persistent microorganisms, particularly CMV, which has been associated with age-related changes in the T cell pool. In a cross-sectional cohort of 152 CMV-negative individuals, aged 21–101 y, we found that aging correlated strictly to an absolute loss of naive CD8, but not CD4, T cells but, contrary to many reports, did not lead to an increase in memory T cell numbers. The loss of naive CD8 T cells was not altered by CMV in 239 subjects (range 21–96 y), but the decline in CD4+ naive cells showed significance in CMV+ individuals. These individuals also exhibited an absolute increase in the effector/effector memory CD4+ and CD8+ cells with age. That increase was seen mainly, if not exclusively, in older subjects with elevated anti-CMV Ab titers, suggesting that efficacy of viral control over time may determine the magnitude of CMV impact upon T cell memory, and perhaps upon immune defense. These findings provide important new insights into the age-related changes in the peripheral blood pool of older adults, demonstrating that aging and CMV exert both distinct and joint influence upon blood T cell homeostasis in humans.
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